Laserfiche WebLink
� � � <br />�� APPLICATION FOR CONSTRUCTION PERMIT� <br /> CITV OF EVEREff•BUILDING DMSION <br /> 3200 CEDM STAEET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLRION ❑ COMBINATION ❑ BUILDNNi ❑ MECHANICAL �VLUMBINO ❑ SNiN <br /> PROJECT ADDRESS� I�S�S 19'� Av S� <br /> �-¢' � �, 1�15 1Ju�L 5E �.uti 9£f1o8 338 1-lly <br /> ow..En Muiww�ss cn t � <br /> tEN�Nt 4YIMId�E55 Gr lro p�E <br /> IRLWifGlqlpf9GMFn Yu1�001�F55 C�IV 8P PM[Nf <br /> GFNE�4GONIp�C.�p1 N�it�OpR55 plv !0' P�MIY[ [11ftUCENSf• <br /> MFCP�NiGlGb11P�CIbP 4ul�fXWf55 O �J /�/ Af.�rvIa� ➢1' V�qN( ! �y i1p��(FylKFNR� �� <br /> P11� SMGCON1P�f,lOA ••4u1�0(XK'� •`J^ �.JD IW Nf/ry(I�3^ �/S�zb3 ��d PMONFfsSJ /�1�M1ilILEMSF• •IG i <br /> cann.c�n«cs a won. HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> p[5�WlF YMR�N�SW�AE�OJ1�Gf NVOlVFO CCN1�Lt VfNSpN�M11'HOHf NO <br /> //VJ// <br /> I HEREBY CERTIFY TH�T I HAVE AEAD AND E%AMINEO THIS <br /> AVP�ICRTION AND NNOW TME S�ME TO BE TIiUE AND CARRECT �LL <br /> v�wvosfo use or ennd.K: PROVISIONS OF UWS AND ORDINANCES GOVEfiNING 1M15 TYPE Of <br /> VpRN VAI L BE COMPL�ED WiTM WHETMER SPECIFIED MEREIN OR <br /> i[c•iocscmvnonavnor[ntt�s�avmeciawan�n�.cM*xoconcsi rypT, THE ONANTING OF A PERMR DOES NOT VRESUAIE TO CIVE <br /> io ai«x � AUTHORITY TO VIOUTE OR CANCEL THE PROVIS�ON OF �NY <br /> OTMEF STATE OR LOCIiL lAW REGUUTIN6 CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TH�T I MI AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM <br /> APPLICATION IS MRDE AND I COMPLV WITM THE STATE <br /> pu¢ci�urm uuuRtn CONTRRCTG LFW 1027 RCW I1N t%200 WRC. <br /> �,vz� ��a 03a Oao�7 � �^�, `�is/fP <br /> �p�5}q���pNlO�M1EMIEX.MI�E55 iEIEA�MlEMUYBf� x Y/ <br /> SiGNqIME D��C <br /> C�IVlUSxEt$LiC[NSL x0 <br /> PLUMBINO MECNIINIC�L <br /> Np. TYPEOFFl%TUREONREM FEE NO. T'PEGFEW�MLMT �E i, <br /> �j. WATER CLOSET(TOILET) NC—MNNDLO UNffS <br /> BATHTUB FORCED AIR SYSTEMS <br /> 'Y IAVATORY(W�SHB�SIN) HE�TWMP <br /> SIIOWER UNIT HEATERS <br /> NITCHEN SINK 8 OISP CLOTHES ORVERS <br /> OISMW�SHER RANGE HOO'� <br /> L�lM1DRY TR�V WATEF NEATER <br /> CLOTNES WN^MER WOOD STOVE <br /> UHINAL METAL FIREPLpCE�WOOD BURNING) <br /> DRINNIN6 FOUNTAIN FIREPIACE INSERT(WOOD BUHNING� <br /> 3 FLOONDR�IN CaASFIREPLACE <br /> B�CNFLOW PREVENTERS GASHNNGE <br /> SINK(SERVICE—BI1R.ETC.) GfS PIPING <br /> E%HAUSTFAN � <br /> �'_ <br /> SUBTOTAL f SUBtOTAI f <br /> PERMIT f GERMIT f <br /> TOTAI.FEE S 70T/LLFEE f <br /> POR OFFICE USE ONLY: <br /> fPnNiViP�f.x PF4�Sf18�CK LEESf�lKk M/J�[IHC1tyUNY� IFF PFRY'�MO <br /> ,�� <br /> use�oNr �o���� v.c�w�s��F FEES _ V11LU11710N �_._ E � <br /> ❑YFS C7 MO PuiMrN: <br /> MFiCu�Puiu�qM NObItwEU�xG S�tEdNWRi �— '//p�j <br /> uNu[ vluMf� ____� __ ""___V__}—� <br /> OCCIMAl.^,� 40�I�I(w�lf OC(1�1MN110�0 B�SiI.EHI yF�M.WM�I __ '�___ <br /> G��Wv OvFS ❑�M —�� .�— <br /> •pp��N4 M1/.NCINCM � <br /> liPESMiiNel[ppEO'� nf�tifN -- �—�—�--�— <br /> p1efA <br /> il�[AUN4Pf0'0 AF�tt�V <br /> s�ac em�owr,suncmMx <br /> �rornrrp�s� n•w��rmovrnar CRYOFEVER� ^'^�'�`K"'"c <br /> LOCAL SALES --"-� <br /> ���E TAIf CODE IS�105 TO7AL <br />